Lori Rugle, Ph.D Mark Vander Linden, MSW Jim Wuelfing, CARC

Size: px

Start display at page:

Download "Lori Rugle, Ph.D Mark Vander Linden, MSW Jim Wuelfing, CARC"

Ruth Parks
6 years ago
Views:

1 Lori Rugle, Ph.D Mark Vander Linden, MSW Jim Wuelfing, CARC

2 Definition of Terms Lessons from the Field: The Iowa Experience Lessons from the Field: Problem Gambling Services, Connecticut Lessons from the Field: The Massachusetts Council on Compulsive Gambling Discussion, Questions, Answers

3 A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

4 Health: Overcoming or managing one's disease(s) as well as living in a physically and emotionally healthy way. Home: A stable and safe place to live. Purpose: Meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors, and the independence, income, and resources to participate in society. Community: Relationships and social networks that provide support, friendship, love, and hope.

Scope of Recovery Primary Primary and Secondary Types of Recovery Abstinence-based Moderation-based Medicated-assisted Context of Recovery Solo Treatment-assisted

5 Scope of Recovery Primary Primary and Secondary Types of Recovery Abstinence-based Moderation-based Medicated-assisted Context of Recovery Solo Treatment-assisted Peer-assisted Framework of Recovery Religious Spiritual Secular Recovery Identity Neutral Recovery-positive Recovery-negative Recovery Termination In Recovery Recovered Recovering

6 Recovery oriented systems of care are health and human service organizations that affirm hope for recovery, exemplify a strengthbased (as opposed to pathology-focused) orientation, and offer a wide spectrum of services aimed at the support of long-term recovery.

7 Focus on A strength-based recovery focus (rather than pathology focus) on all services Long-term recovery moving away from an acute care model for the treatment of a chronic illness Partnerships emphasizing recovery-linked service practices Community components geared toward building recovery capital.

8 Is an independent, non-profit organization led and governed by local communities of recovery. The broadly defined recovery community people in long-term recovery, their families, friends and allies, including recovery-focused addiction and recovery professionals includes organizations whose members reflect many pathways to recovery.

9 Peer-based recovery support is the process of giving and receiving non-professional, non-clinical assistance to achieve long-term recovery from severe alcohol and/or other drugrelated problems. This support is provided by people who are experientially credentialed to assist others in initiating recovery, maintaining recovery, and enhancing the quality of personal and family life in long-term recovery. From Peer-based Addiction Recovery Support: History, Theory, Practice and Scientific Evaluation by William L. White

10 Mark Vander Linden, MSW Director of Research and Problem Gambling Massachusetts Gaming Commission

11 Unmet Need: Very few people who may benefit treatment seek it Low Retention: > 50% do not successfully complete treatment Lack of support after treatment: GA is sporatic and few other options Gambling Activities: Some form of gambling is common among adult Iowans, 2 out of 3 in the past month.

12 ROSC supports person-centered and selfdirected approaches to care that build on the strengths and resilience of individuals, families and communities to take responsibility for their sustained health, wellness, and recovery from alcohol and drug problems and problem gambling. A ROSC offers a comprehensive menu of services and supports that can be combined and readily adjusted to meet the individual s needs and chosen pathway to recovery.

13 Prevent the development of new behavioral health disorders Reduce the harm caused by addiction and mental illness Help individuals transition from brief experiments in recovery initiation to sustained recovery maintenance Promote good quality of life, community health and wellness for all

14 Recovery-Oriented Systems of Care shifts the question from How do we get the client into treatment? to How do we support the process of recovery within the person s environment?

15 Recovery Individual Family V Community Wellness Health SAMHSA/CSAT

16 Recovery Social Services Housing System Faith Community Child Welfare and Family Services Indian Health Services Wellness Educational Housing/ Transportation Spiritual Family/ Child Care Systems of Care Financial Services & Supports Individual Family Community Legal Health Insurance VSO & Peer Support Case Mgt DoD & Veterans Affairs Addiction Services System Alcohol and Drug Problem Gambling Vocational PTSD & Mental Health Physical Health Care HIV Criminal Justice System Mental Health System Primary Care System Vocational Services Health SAMHSA 2010

RECOVERY Evidence Based Practice Cost Effective Housing Access/ Capacity Retention Insurance Vocational WELLNESS Child Welfare SA/GA Prevention Care Coordination Coalitions Veterans Affairs DOD

17 RECOVERY Evidence Based Practice Cost Effective Housing Access/ Capacity Retention Insurance Vocational WELLNESS Child Welfare SA/GA Prevention Care Coordination Coalitions Veterans Affairs DOD Systems of Care Services & Supports Individual Family Community SA/GA Treatment Primary Care Abstinence Addiction Transportation Medication Assisted Treatment Vocational Education Peer Housing Support Employment Recovery Peer Mental Health Coaching Sober Living Treatment Intervention Spiritual Child Care Family Treatment Recovery Calls Life Skills Mental Health Public Health Employment Criminal & Juvenile Justice Human Service HEALTH Reduced Crime Safe Housing Perception of Care Social Connectedness

19 Crisis Zone Treatment System Recovery System Recovery Zone Promote self care and rehabilitation

20 Recovery support services are just part of a larger initiative to support a Recovery Oriented System of Care.

21 A broad array of client-selected provider or community-based supports and services intended to further enhance and further the client s recovery journey. Introduced in July 2011 Maximum client benefit = $1,400 or amount approved by IDPH. Based on Access to Recovery (ATR) menu of services

22 1. Individuals have the right to choose recovery and the recovery-related services and supports that best meet their needs. 2. Client choice is enhanced by a recovery-oriented system of care that honors each client s familial, cultural, spiritual, economic and logistical needs. 3. Individualized choice enhances client retention in treatment and strengthens client commitment to and success in recovery.

23 Resident of the state of Iowa. Admitted to treatment as a problem gambler for a minimum of 30 days. Inability to pay for recovery support service based on one of the following: Client at or below 200% of the Federal Poverty Level Burden of gambling related debt drives the client income at or below 200% of the Federal Poverty Level Client is without other financial resources to pay for the service(s)

24 Lori Rugle, Ph.D., NCGC-II, CARC Director, Problem Gambling Services Department of Mental Health and Addiction Services, CT

25 In the beginner's mind there are many possibilities, but in the expert's there are few. - Shunryu Suzuki

26 Creating Gambling Informed ROSC s AND Creating Problem Gambling ROSC s

27 Billing and Funding

28 Create and Define Position

29 Adequate and Appropriate Supervision

30 Out of the Box and Out of the Office

31 I am doing the best I can, with what I got Everybody is always motivated

32 You are in recovery when you say you are.

33 Jim Wuelfing, CARC Consultant, Massachusetts Council on Compulsive Gambling

34 Affirms support of all employees in recovery List some supports and the willingness to make accommodations Discusses relapse and possible responses.

35 Affirms that intervention and treatment works but there is a need to better support recovery Affirms 12 step programs in supporting recovery Discusses singleness of purpose Discusses the need to assist in overcoming obstacles in early recovery Lists recovery support services

36 Recovery space An array of weekly 12-step and potential other self-help meetings at the office Collaborating with the seven recovery centers and four recovery high schools Collaborating with Massachusetts Organization for Addiction Recovery Annual First Steps to Change weekend All Recovery Retreat Telephone Recovery Support Gambling Specific Training for Recovery Coaches Collaborating with Recovery Peer Specialists in mental health

37 Getting your own house in order first is a valuable asset: How do you define recovery and recovery support services? What internal policies, procedures and protocols do you have or need? Understand and be able to articulate the value of why recovery support services are valuable and needed.

38 Be very careful not to alienate the 12-step community Recovery support services are not in lieu of GA and Gam-Anon Understand GA s Unity Program and singleness of purpose Become partners with the ROSC effort in your jurisdiction including recovery community organizations, recovery centers and other recovery support services.

39 Working with the mental heath community can provide additional access and collaboration opportunities.

ORGANIZATION OF AMERICAN STATES INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION RECOVERY-ORIENTED SYSTEMS OF CARE

ORGANIZATION OF AMERICAN STATES INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION FORTY-FOURTH REGULAR SESSION November 19-21, 2008 Santiago, Chile OEA/Ser.L/XIV.2.44 CICAD/doc.1687/08 13 November 2008 Original: